SYLVIA RUSSIANOFF


Address: 128 Rochelle Avenue, Philadelphia, PA 19128
Phone: 2153568672

SYLVIA RUSSIANOFF (NPI# 1609280049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609280049
Entity Type Individual
Full Name SYLVIA RUSSIANOFF
Practice Address 128 Rochelle Avenue
Philadelphia
PA 19128
Practice Telephone 2153568672
Mailing Telephone 2153568672
Enumeration Date 2014-06-13
Last Update Date 2014-06-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
Behavioral Health & Social Service Providers

Office Location

Street Address 128 ROCHELLE AVENUE
City PHILADELPHIA
State PA
Zip Code 19128

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851877179 Andrew Mermelstein Podiatrist 5800 Roxborough Avenue, Philadelphia, PA 19128 2018-07-19
1811499361 Ursula Wacyk Social Worker 6122 Ridge Avenue, Philadelphia, PW 19128 2018-03-01
1417478454 Chelsea Lynn Roberts Physician Assistant 707 Autumn River Run, Philadelphia, PA 19128 2017-06-29
1174060503 Melody Ann Piranian Nurse Practitioner Andorra Pediatrics, 8945 Ridge Ave St 5, Phila, PA 19128 2017-01-24
1154874410 Meghan Smith Pharmacist 5927-59 Ridge Ave, Philadelphia, PA 19128 2016-08-03
1356797880 Jenna Angelo Registered Nurse 457 Spring Lane, Philadelphia, PA 19128 2016-05-13
1689049843 Newcourtland Senior Centers Clinic/Center 4200b Mitchell Street, Suie 1000, Philadelphia, PA 19128 2015-12-14
1235519331 Merin Wexler Social Worker 6060 Ridge Avenue, Suite 210, Philadelphia, PA 19128 2015-06-03
1457754335 Sarah De Simone Specialist/Technologist 318 Fountain Street, Philadelphia, PA 19128 2014-10-06
1699030874 Lisa Castenova Physician Assistant 5800 Ridge Avenue, Roxborough Memorial Hospital, Philadelphia, PA 19128 2012-07-12
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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Competitor

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City PHILADELPHIA
Zip Code 19128

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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